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Effects of the First Line Diabetes Care (FiLDCare) self-management education and support project on knowledge, attitudes, perceptions, self-management practices and glycaemic control: a quasi-experimental study conducted in the Northern Philippines

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dc.contributor.author Ku, G. M. en_US
dc.contributor.author Kegels, G. en_US
dc.date.accessioned 2014-09-25T13:39:51Z
dc.date.available 2014-09-25T13:39:51Z
dc.date.issued 2014 en_US
dc.identifier.issn 2044-6055 en_US
dc.identifier.doi http://dx.doi.org/10.1136/bmjopen-2014-005317 en_US
dc.identifier.other ITG-H1B; ITG-HLA; DPH; U-HSO; JIF; DOI; FTA; OAJ; E-only; Abstract; UPD56 en_US
dc.identifier.uri http://hdl.handle.net/10390/7926
dc.description.abstract OBJECTIVES: To investigate the effects of implementing a context-adapted diabetes self-management education and support (DSME/S) project based on chronic care models in the Philippines, on knowledge, attitudes, self-management practices, adiposity/obesity and glycaemia of people with diabetes. DESIGN: Prospective quasi-experimental before-after study. PARTICIPANTS: 203 people with type 2 diabetes mellitus from two local government units in the Northern Philippines fulfilling set criteria. OUTCOME MEASURES: Context-adapted DSME/S was given to a cohort of people with diabetes by trained pre-existing local government healthcare personnel. Changes in knowledge, attitudes and self-management practices, body mass index, waist circumference, waist-hip ratio (WHR) and glycosylated haemoglobin (HbA1c) were measured 1 year after full project implementation. Non-parametric and parametric descriptive and inferential statistics including logistic regression analysis were done. RESULTS: Complete data were collected from 164 participants. Improvements in glycaemia, waist circumference, WHR, knowledge, some attitudes, adherence to medications and exercise, and an increase in fear of diabetes were significant. Reductions in HbA1c, regardless of level of control, were noted in 60.4%. Significant increase in knowledge (p<0.001), positive attitude (p=0.013), perceived ability to control blood glucose (p=0.004) and adherence to medications (p=0.001) were noted among those whose glycaemia improved. Significant differences between the subgroups whose HbA1c improved and those whose HbA1c deteriorated include male gender (p=0.042), shorter duration of diabetes (p=0.001) and increased perceived ability to control blood glucose (p=0.042). Significant correlates to improved glycaemia were male gender (OR=2.655; p=0.034), duration of diabetes >10 years (OR=0.214; p=0.003) and fear of diabetes (OR=0.490; p=0.048). CONCLUSIONS: Context-adapted DSME/S introduced in resource-constrained settings and making use of established human resources for health may improve knowledge, attitudes, self-management practices and glycaemia of recipients. Further investigations on addressing fear of diabetes and tailoring DSME/S to females with diabetes and those who have had diabetes for a longer period of time may help improve glycaemia. en_US
dc.language English en_US
dc.subject Noncommunicable diseases en_US
dc.subject Diabetes mellitus type 2 en_US
dc.subject Interventions en_US
dc.subject Self care en_US
dc.subject Management en_US
dc.subject Education en_US
dc.subject Support en_US
dc.subject KAP en_US
dc.subject Knowledge en_US
dc.subject Attitudes en_US
dc.subject Practices en_US
dc.subject Anthropometry en_US
dc.subject Body mass index en_US
dc.subject BMI en_US
dc.subject Waist circumference en_US
dc.subject Hemoglobin en_US
dc.subject Glycemic index en_US
dc.subject Acceptability en_US
dc.subject Philippines en_US
dc.subject Asia, Southeast en_US
dc.title Effects of the First Line Diabetes Care (FiLDCare) self-management education and support project on knowledge, attitudes, perceptions, self-management practices and glycaemic control: a quasi-experimental study conducted in the Northern Philippines en_US
dc.type Article-E en_US
dc.citation.issue 8 en_US
dc.citation.jtitle BMJ Open en_US
dc.citation.volume 4 en_US
dc.citation.pages e005317 en_US
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/25113555 en_US
dc.citation.jabbreviation BMJ Open en_US


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